The patient is a 40 yo woman with an eight year history of scarring alopecia.
Her ANA is + at 1:160 - all other labs are normal.
No other cutaneous findings or systemic disease other than "fibromyualgia."
She has been treated with 200 mg of plaquenil b.i.d. for a number of years. This has not been of much help.
The patient is quite concerned about her scalp. She's going through a divorce and worries about her appearance.
Questions?
1) Any value to a biopsy?
2) Would scalp reduction be an option?
3) Role for hari transplantation? Should a biopsy be done first
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